Active NPIIndividual provider

Mrs. Carly M Ackerman, PA-C

Physician Assistant in Tampa, Florida

NPI Number1790259075
Practice location
10920 Mckinley Dr, Tampa, FL 33612-6471
Fax
—
Last updated
December 9, 2025

Mrs. Carly M Ackerman, PA-C is a Physician Assistant based in Tampa, FL. Mrs. Carly M Ackerman, PA-C holds the professional credentials of PA-C. The NPI number for Mrs. Carly M Ackerman, PA-C is 1790259075 and holds license No. PA9116252 (FL). The current practice location address is 10920 Mckinley Dr, Tampa, FL 33612-6471 and the office can be reached by phone at 888-663-3488. The NPI was assigned on January 19, 2019 and the record was last updated in NPPES on December 9, 2025.

●Provider Profile Details

NPI Number
1790259075
Provider Name
Carly Marie Ackerman
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Enumeration Date
January 19, 2019
Last Update Date
December 9, 2025
Certification Date
December 9, 2025
NPI Status
Active

◉Business Practice Location Address

Address
10920 Mckinley Dr
Tampa, FL 33612-6471
City
Tampa
State
Florida
ZIP
33612-6471
Country
US
Phone Number
888-663-3488

Get directions →

✉Business Mailing Address

Address
Po Box 198441
Atlanta, GA 30384-8441
City
Atlanta
State
GA
ZIP
30384-8441
Phone Number
813-745-7365
Fax Number
813-449-8618

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant363A00000XYesPA9116252FL

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

☉Other providers near Tampa, FL

View all providers in Tampa →

?Frequently Asked Questions

What is the NPI number of Mrs. Carly M Ackerman, PA-C?

The NPI number of Mrs. Carly M Ackerman, PA-C is 1790259075. It was assigned on January 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Carly M Ackerman, PA-C?

Mrs. Carly M Ackerman, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. PA9116252 (FL).

Where does Mrs. Carly M Ackerman, PA-C practice?

The practice location is 10920 Mckinley Dr, Tampa, FL 33612-6471. The office can be reached at 888-663-3488 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790259075 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

Browse related providers